Provider First Line Business Practice Location Address:
TRAVEL MEDICINE, 69-846 HIGHWAY 111, 92270-2857
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
RANCHO MIRAGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92270-2857
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-321-0967
Provider Business Practice Location Address Fax Number:
760-346-9852
Provider Enumeration Date:
09/26/2007